Organization
PEACEFUL LIVING PROFESSIONALS, LLC
Active
Organization
PEACEFUL LIVING PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD VUE (CEO)
(763) 951-9049
Entity
Organization
Contact information
Practice address
6901 78TH AVE NO, SUITE 102, BROOKLYN PARK, MN 55445
(763) 951-9049
Mailing address
6901 78TH AVE NO, SUITE 102, BROOKLYN PARK, MN 55445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
24976
MN
251S00000X
Community/Behavioral Health Agency
8738
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24976
CLINICAL SOCIAL WORKER
MN
01
—
8738
CLINICAL SOCIAL WORKER
MN
Enumeration date
02/03/2017
Last updated
02/03/2017
Update your record
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